How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | None | $138.04 | $141.25 | $165.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $363.08 Median $389.05 Typical High $562.34 | Facility | None | $363.08 | $389.05 | $562.34 |
BCBS North Carolina Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $562.34 | Professional | None | $147.91 | $194.98 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $457.09 Typical High $794.33 | Facility | None | $144.54 | $457.09 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $275.42 | Professional | None | $81.28 | $128.82 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Facility | None | $141.25 | $141.25 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $302.00 | Professional | None | $141.25 | $141.25 | $302.00 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $181.97 | Professional | None | $74.13 | $104.71 | $181.97 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $70.79 Typical High $223.87 | Professional | 51 · Multiple procedures | $70.79 | $70.79 | $223.87 |
Where North Carolina sits
The same service costs 8.3 times more in Texas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 29th of 51
$166
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.